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J Clin Invest 101: 515-520, 1998

Aside from dose, timing may also influence carnitine's effects since some data suggests it has a beneficial effect when taken before exercise but this isn't always the case depending on the person's baseline serum carnitine levels, with lower levels requiring longer supplementation periods to elicit exercise performance benefits

Constipation is extremely common, and fasting can worsen it by reducing total food volume and fiber intake